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Diffuse Large B-cell LymphomaPhase 2NCT02733380

Chidamide Combined With VDDT Regimen in the Relapse and Refractory Diffuse Large B Cell Lymphoma

A Phase 2 study testing Chidamide, Vinorelbine and Liposomal Doxorubicin or mitoxantrone in people with Diffuse Large B-cell Lymphoma, run by Henan Cancer Hospital at 1 site in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This is a prospective phase II clinical trial to observe the efficacy and safety of Chidamide combined with VDDT(vinorelbine,liposomal doxorubicin,dexamethasone and thalidomide) in relapsed and refractory patients with diffuse large B-cell lymphoma(DLBCL). Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Diffuse Large B-cell Lymphoma
What is being tested?
Chidamide, Vinorelbine and Liposomal Doxorubicin or mitoxantrone
Could I receive a placebo?
No, everyone receives an active treatment
How many people
20 participants
Where
1 siteChina
Study dates
May 2016to May 2021
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosed as diffuse large B-cell Lymphoma based on the 2008 WHO classification of tumors of haematopoietic and lymphoid tissues
  • Failed with second-line therapy
  • Having at least one measurable lesions
  • Age between 18 to 75 years old
  • World health organization-Eastern Cooperative Oncology Group Performance Status (ECOG) 0-1
  • Neutrophils more than 1.5*10^9/L; Platelets more than 90*10^9/L Hemoglobin: more than 90g/L.
Show all 9Show fewer
  • Life expectancy no less than 3 months
  • No receiving chemotherapy in 4 weeks before enrollment
  • Agreeing to sign the written informed consents

Who cannot join

  • Pregnant ,lactating and patients at reproductive age who refuse to practice contraception
  • QTc prolonging >450ms,ventricular tachycardia,atrial fibrillation,cardiac conduction block, myocardial infarction in less than 1 year, congestive heart failure,coronary heart disease which needs medication.
  • Organ transplant recipients
  • Active bleeding
  • Thrombus,embolism,cerebral hemorrhage,cerebral infarction
  • Important organ operation in less than 6 weeks
Show all 11Show fewer
  • Abnormal liver function(Note:total bilirubin >1.5 times the upper limit of normal,AST or ALT >2.5 times the upper limit of normal (Note:5 times the upper limit of normal for patients with liver involvement)),abnormal renal function(Note:serum creatinine >1.5 times the upper limit of normal),fluid and electrolyte disorders
  • Mental illness or unable to sign the informed consent
  • Drug addiction history or alcoholism which may interfere the experimental results.
  • Researchers determine unsuited to participate in this trial
  • Known allergy to any kind of study drugs

Trial locations and contacts

1 site in 1 country.

Yanyan Liu, M.D. Ph.D contact

+8613818176375

yyliu@zzu.edu.cn

Jiuyang Zhang, Master contact

+8615003810435

zhangjiuyang9103@163.com

China1 site, 1 recruiting
  • Henan Cancer Hospital/The affiliated Cancer Hospital of ZhengZhou university

    Zhengzhou, Henan, 450008

    Yanyan Liu, M.D., +8613838176375, yyliu@zzu.edu.cn

    Jiuyang Zhang, Master, +8615003810435, zhangjiuyang9103@163.com

    Recruiting

Other trials in China

About this study

Official title: The Efficacy and Safety of Chidamide Combined With VDDT Regimen(Vinorelbine,Liposomal Doxorubicin,Dexamethasone and Thalidomide) in Relapse and Refractory Patients With Diffuse Large B Cell Lymphoma

This is a prospective phase II clinical trial to observe the efficacy and safety of Chidamide combined with VDDT(vinorelbine,liposomal doxorubicin,dexamethasone and thalidomide) in relapsed and refractory patients with diffuse large B-cell lymphoma(DLBCL).

Read the detailed description

There are one third of diffuse large B-cell Lymphoma patients suffering relapse and refractory, which are the major cause of death among these patients. Vinorelbine,liposomal doxorubicin,mitoxantrone, dexamethasone and thalidomide have been used in the therapy of patients who failed with Second-line treatments in our center. This regimen is well tolerated but the effect needs to be improved. Chidamide,a histone deacetylase inhibitor has been approved for the treatment of refractory T-cell lymphoma in China. The goal is to assess the efficacy and safety of chidamide combined with VDDT(vinorelbine,liposomal doxorubicin,dexamethasone and thalidomide) in relapse and refractory patients with diffuse large B-cell Lymphoma.

Being tested
Chidamide, Vinorelbine, Liposomal Doxorubicin or mitoxantrone, Dexamethasone, Thalidomide
Keywords
Diffuse Large B-Cell Lymphoma, Relapsed and refractory, Histone deacetylase inhibitor, Chidamide
Medical subject headings
Lymphoma, Large B-Cell, Diffuse, Recurrence

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ChidamideDrug

    30mg , Oral twice a week(with an interval of no less than 3 days,;e.g. Monday and Thursday,Tuesday and Friday) until disease progression or unacceptable toxicity develops

  • VinorelbineDrug

    20mg/m2, IV on day 1 of each 14 day cycle until disease progression or unacceptable toxicity develops, up to 12 cycles

  • Liposomal Doxorubicin or mitoxantroneDrug

    20mg/m2, IV on day 1 of each 14 day cycle(Note:for patients who can not afford the liposomal doxorubicin,may be replaced into mitoxantrone 8mg/m2, IV on day1 of each 14 day cycle) until disease progression or unacceptable toxicity develops, up to 12 cycles

  • DexamethasoneDrug

    10mg/m2 , IV on day 1-5 of each 14 day cycle until disease progression or unacceptable toxicity develops, up to 12 cycles

  • ThalidomideDrug

    100mg,Oral at night on each day until disease progression or unacceptable toxicity develops, up to 24 weeks

Study groups in NCT02733380
Study groupRoleWhat they receive
Chidamide combined with VDDT regimenExperimentalChidamide 30mg,Oral twice a week with an interval of no less than 3 days combined with regimen:VDDT(Vinorelbine,Liposomal doxorubicin or mitoxantrone ,Dexamethasone and Thalidomide):repeated every 14 days ,up to 12 cycles
Receives: Drug: Chidamide; Drug: Vinorelbine; Drug: Liposomal Doxorubicin or mitoxantrone; Drug: Dexamethasone; Drug: Thalidomide

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. objective response rate

    the total proportion of patients with complete response(CR or CRu)and partial response(PR)

    Measured: every 8 weeks until 1 year after last patient's enrollment

  2. adverse events

    any unfavorable and unintended sign , symptom, or disease temporally associated with the use of a medical treatment or procedure that may or may not be considered related to the medical treatment or procedure

    Measured: from the date of first cycle of treatment to 1 year after last patient's enrollment

  3. abnormal laboratory examinations

    includes type, incidence, relationship with treatment and severity of abnormal laboratory examinations.

    Measured: from the date of first enrollment to 1 year after last patient's enrollment

  4. incidence and relationship with study drugs of grade 3-4 adverse events and abnormal laboratory examinations

    the incidence and relationship with study drugs of grade 3 or 4 adverse events (based on NCI CTC-AE v4.03) and abnormal laboratory examinations

    Measured: from the date of first cycle of treatment to 1 year after last patient's enrollment

Secondary outcomes (2)
  1. progression-free survival

    from date of first day of treatment to the date of first documented

    Measured: from the day of treatment to the date of first documented progression,up to 1 year after last patient's enrollment

  2. duration of response

    from the first day of documented response to disease progression or death.

    Measured: from the day of first documented response to first documented progression or death,up to 1 year after last patient's enrollment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Apr 2016 (estimated)
  2. Study startMay 2016
  3. Primary completionMay 2020 (estimated)
  4. Study completionMay 2021 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
20 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02733380
Sponsor's protocol ID
HNSZLYYML-01
Status last verified
Aug 2018
First submitted
25 Mar 2016
Last updated
1 Apr 2020
Results posted
No
Data monitoring committee
Yes

Publications

  • Wynder EL. Listen to nature. The challenge of lifestyle medicine. Soz Praventivmed. 1991;36(3):137-46. doi: 10.1007/BF01352692.

    PubMed 1950172
  • Witt O, Deubzer HE, Milde T, Oehme I. HDAC family: What are the cancer relevant targets? Cancer Lett. 2009 May 8;277(1):8-21. doi: 10.1016/j.canlet.2008.08.016. Epub 2008 Sep 27.

    PubMed 18824292
  • Khan AN, Tomasi TB. Histone deacetylase regulation of immune gene expression in tumor cells. Immunol Res. 2008;40(2):164-78. doi: 10.1007/s12026-007-0085-0.

    PubMed 18213528
  • Pasqualucci L, Dominguez-Sola D, Chiarenza A, Fabbri G, Grunn A, Trifonov V, Kasper LH, Lerach S, Tang H, Ma J, Rossi D, Chadburn A, Murty VV, Mullighan CG, Gaidano G, Rabadan R, Brindle PK, Dalla-Favera R. Inactivating mutations of acetyltransferase genes in B-cell lymphoma. Nature. 2011 Mar 10;471(7337):189-95. doi: 10.1038/nature09730.

    PubMed 21390126
  • Morin RD, Mendez-Lago M, Mungall AJ, Goya R, Mungall KL, Corbett RD, Johnson NA, Severson TM, Chiu R, Field M, Jackman S, Krzywinski M, Scott DW, Trinh DL, Tamura-Wells J, Li S, Firme MR, Rogic S, Griffith M, Chan S, Yakovenko O, Meyer IM, Zhao EY, Smailus D, Moksa M, Chittaranjan S, Rimsza L, Brooks-Wilson A, Spinelli JJ, Ben-Neriah S, Meissner B, Woolcock B, Boyle M, McDonald H, Tam A, Zhao Y, Delaney A, Zeng T, Tse K, Butterfield Y, Birol I, Holt R, Schein J, Horsman DE, Moore R, Jones SJ, Connors JM, Hirst M, Gascoyne RD, Marra MA. Frequent mutation of histone-modifying genes in non-Hodgkin lymphoma. Nature. 2011 Jul 27;476(7360):298-303. doi: 10.1038/nature10351.

    PubMed 21796119
  • Mondello P, Younes A. Emerging drugs for diffuse large B-cell lymphoma. Expert Rev Anticancer Ther. 2015 Apr;15(4):439-51. doi: 10.1586/14737140.2015.1009042. Epub 2015 Feb 5.

    PubMed 25652253
  • Dong M, Ning ZQ, Xing PY, Xu JL, Cao HX, Dou GF, Meng ZY, Shi YK, Lu XP, Feng FY. Phase I study of chidamide (CS055/HBI-8000), a new histone deacetylase inhibitor, in patients with advanced solid tumors and lymphomas. Cancer Chemother Pharmacol. 2012 Jun;69(6):1413-22. doi: 10.1007/s00280-012-1847-5. Epub 2012 Feb 24.

    PubMed 22362161
  • Ning ZQ, Li ZB, Newman MJ, Shan S, Wang XH, Pan DS, Zhang J, Dong M, Du X, Lu XP. Chidamide (CS055/HBI-8000): a new histone deacetylase inhibitor of the benzamide class with antitumor activity and the ability to enhance immune cell-mediated tumor cell cytotoxicity. Cancer Chemother Pharmacol. 2012 Apr;69(4):901-9. doi: 10.1007/s00280-011-1766-x. Epub 2011 Nov 12.

    PubMed 22080169
  • Gong K, Xie J, Yi H, Li W. CS055 (Chidamide/HBI-8000), a novel histone deacetylase inhibitor, induces G1 arrest, ROS-dependent apoptosis and differentiation in human leukaemia cells. Biochem J. 2012 May 1;443(3):735-46. doi: 10.1042/BJ20111685.

    PubMed 22339555
  • Zhou Y, Pan DS, Shan S, Zhu JZ, Zhang K, Yue XP, Nie LP, Wan J, Lu XP, Zhang W, Ning ZQ. Non-toxic dose chidamide synergistically enhances platinum-induced DNA damage responses and apoptosis in Non-Small-Cell lung cancer cells. Biomed Pharmacother. 2014 May;68(4):483-91. doi: 10.1016/j.biopha.2014.03.011. Epub 2014 Mar 18.

    PubMed 24721323
  • Frys S, Simons Z, Hu Q, Barth MJ, Gu JJ, Mavis C, Skitzki J, Song L, Czuczman MS, Hernandez-Ilizaliturri FJ. Entinostat, a novel histone deacetylase inhibitor is active in B-cell lymphoma and enhances the anti-tumour activity of rituximab and chemotherapy agents. Br J Haematol. 2015 May;169(4):506-19. doi: 10.1111/bjh.13318. Epub 2015 Feb 23.

    PubMed 25712263
  • Shimizu R, Kikuchi J, Wada T, Ozawa K, Kano Y, Furukawa Y. HDAC inhibitors augment cytotoxic activity of rituximab by upregulating CD20 expression on lymphoma cells. Leukemia. 2010 Oct;24(10):1760-8. doi: 10.1038/leu.2010.157. Epub 2010 Aug 5.

    PubMed 20686505

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Chidamide, Vinorelbine and Liposomal Doxorubicin or mitoxantrone in people with Diffuse Large B-cell Lymphoma, run by Henan Cancer Hospital at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 1 Apr 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Yanyan Liu, M.D. Ph.D (+8613818176375, yyliu@zzu.edu.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

objective response rate (time frame: every 8 weeks until 1 year after last patient's enrollment). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02733380, which also lists 12 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Apr 2020.

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